Organization
ORTHOPEDIC & SPINE CENTER OF SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DANIEL SIMON M.D (DOCTOR)
(954) 941-2679
Entity
Organization
Contact information
Practice address
150 SW 12TH AVE, SUITE 410, POMPANO BEACH, FL 33069-3298
(954) 941-2679
(954) 941-6169
Mailing address
150 SW 12TH AVE, SUITE 410, POMPANO BEACH, FL 33069-3298
(954) 941-2679
(954) 941-6169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0073142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699857466
NPI
FL
01
—
ME0073142
MEDICAL LICENSE
FL
Enumeration date
06/04/2007
Last updated
08/22/2020
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